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General NPI Number Information
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NPI Number | 1790604635
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Entity Type | Organization
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Legal Business Name | BAYAN HEALTH WA PC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 901 W YAKIMA AVE STE 4B
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City | YAKIMA
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State | WA
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Zip | 98902-3096
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Country | US
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Telephone | 925-989-7548
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Fax |
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Provider Business Mailing Address
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Address Line | 901 W YAKIMA AVE STE 4B
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City | YAKIMA
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State | WA
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Zip | 98902-3096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALER
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Name | CASSIDY BRINK
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Credential |
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Telephone | 989-240-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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